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Obama on health care: Stupid and/or evil?

Put down your coffee. Izvestia, page one:

My take:

Evil, because nobody could possibly be that stupid.

Getting care when you need it is fucking difficult. There! Done. And I didn't have to bill my day rate to some scum-sucking "progressive" polling outfit for the consult, or even build a website for people to check. It was easy!

Clue stick, you D fuckheads, and you too, Preznit Fuck You. Getting care when you need it is fucking difficult, especially if you're one of the 48.6 million Americans without health insurance.

This "mystery shopper's" experience: I haven't been posting with my usual mechanical efficiency for the past few days because I fell off my bike and hurt my wrist. So, since going to the ER costs $1000 to walk in the door, which is a lot of money to me, you fuckheads, I waited 'til the next day and went to a walk-in clinic, where I discovered to my great relief I had a sprain and not a fracture. (Which was a great relief to me, you fuckheads who don't give two shits about DISemployment, because if I can't type I lose the work what I have.) Reasonable care, actually spoke to a doctor, saw the X-rays, and so forth. Only $250, and fortunately not in the winter, since that would be a month of fuel. You fuckheads. However, the intake was completely transactional, and here's the beauty part: They offered me a 10% discount for cash up front, so I wrote them a check. What I didn't know, because the interviewer didn't actually show me the brochure I read after intake in the waiting room, was that they had a sliding scale, based on income, and that I more than qualified. So, after I got my happy diagnosis, I asked them if I could roll back the transaction and be billed, so I could go for the sliding scale. At which point the atmosphere cooled noticeably, and they explained to me that it wasn't only income, but also assets -- "So the brochure was deceptive?" I said -- and that I could call this number to set up an appointment, and they would tell me the paperwork I had to bring, and so on. So, I figured a day's worth of travel and hassle wasn't worth it, especially when I'd end up in a database they'd promptly sell to gawd knows who, and privacy be damned. Reminds me of Prussia, where they ran social welfare programs out of the police stations. Anyhow, I guess I'm an informed health consumer now, so there's that. So I'll say it again:

Getting care when you need it is fucking difficult

Fuck you, Preznit Obama. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you. Fuck you.

Take that and call me in the morning.

NOTE I'm wrong on the polling firm. It's NORC, from the University of Chicago. They don't look sleazy, but who knows? I'd love to find a Dartmouth Atlas or health insurance connection, but I can't.....

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jeer9's picture
Submitted by jeer9 on

Lambert,
Saddened to learn of your accident. Like the anger and contempt, it is well-directed and well-deserved, though two full pages of FUs are not likely to get through to the Dem leadership clowns. Gay marriage in NY has just increased the difference between the two parties to 3%. Hang in there.

Bryan's picture
Submitted by Bryan on

And, in addition to the insurance with $0 co-pays, you are the established patient of a half dozen doctors?

If you need to see a doctor outside of office hours, or within a week of the symptoms, you are forced to go to an emergency room or clinic. You have no other choices.

Because of the cost of having clerks skilled in dealing with insurance companies, group practices are the norm in most areas of any size. Doctors are expected to see at least 3 patients per hour, so they are over booked, just like airlines.

Many group practices have doctors working in multiple locations, so your doctor will only be available two or three days per week.

I printed out a bloody colored chart for my Mother so she knows what kind of illnesses or problems she can have on any particular day of the week. The reality is that if she calls, they will tell her to go to the emergency room - I assume that's so she can catch something really serious.

I've seen the bills and they are outrageous. $250 buys a one-liter bag of salt water for the IV they always insert, no matter what the complaint is.

Given the size of the student loans that most doctors start out with, they have to make as much as possible to avoid going under.

The system is broken, and many people want to keep it that way because they make a hell of a lot of money as 'middle men'.

danps's picture
Submitted by danps on

Refusing to have Medicare For All and instead going for some Rube Goldberg model for delivering health care puts you exactly in this position, and no one should act surprised. This cat-and-mouse game will be the norm. Trying to enforce compliance will be a nightmare, this is Exhibit A, and we'll need to go on beyond zebra to get enough letters for all the ones coming up.

votermom's picture
Submitted by votermom on

tell us how you really feel.

Hope your wrist feels better soon.
I looked this page up on natural sprain remedies ... I know about arnica but the horse chestnut is new to me. Personally I also think Pycnogenol is a bit of a wonder-supplement for any kind of pain and inflammation.
http://www.disabled-world.com/medical/al...

Submitted by regulararmyfool on

I regret bitterly that I didn't bag the United States 30 years earlier.

I need an Xray on a Sunday, my wife calls the radiologist, he calls the tech, I pay for everyone's cabs to the office and home. X ray, diagnosis $35 (for a Sunday), total
less than $50.

I have six specialist doctors and a general practioner. All but the radiologist, the pulmonologist and heart specialist do house calls. The psychiatrist charges $35, he is the most expensive and the only one that does not speak excellent colloquial English.

Best doctors that I have ever had. For 10 years, I had super deluxe Cadillac medical, dental and eye coverage in the states, I paid nothing for any medical expense (except psychiatrists, I paid them cash under a phony name.) I couldn't get the quality of doctors that I have now.

Jessica Yogini's picture
Submitted by Jessica Yogini on

Where?

Submitted by regulararmyfool on

City in the center of the Atacama desert in extreme southern Peru.

I didn't mention that when I moved here 6 or 7 years ago, I needed 11 to 13 crowns on my teeth, 5 to 8 root canals, had two split teeth and an unknown infection in my jaw caused by a quack dentist in the US.

Last time a US dentist gave me an estimate was in 1995. At that time, a "rough guess" was $15,000 to $18,000. That was before I destroyed a lot of teeth grinding them during the nightmares from 9/11.

Here in three months everything was fixed. For less than $4,000 which included flying to Lima and having my jaw rebuilt after surgery by the best oral surgeon in the country to kill the infection (German technology, not available in the states.)

I get my teeth cleaned every six months. I had one crown come off and the dentists repaired it because their work was "guaranteed."

I can hook anyone into the medical/dental community. I can't handle details because I have no short term memory, but for medical tourism, people could do a lot worse than here. I can arrange for English speaking go-fors to handle details.

This not for profit. I don't pay taxes, but I like to give a little bit back to my fellow Americans. I try to help out bloggers that I follow regularly.

beowulf's picture
Submitted by beowulf on

Peru Shames USA with Universal Healthcare--Today's SinglePayer Update
Posted by Shum Preston on March 21, 2007...
{President Alan} Garcia explained the objective of this decree is to combine Peru’s health care systems - the public hospitals of the Health Ministry (Minsa), the Social Health Insurance hospitals (Essalud) and the hospitals of the Armed Forces and the National Police - into one unique system that will take care of all Peruvians, insured or not, whether they are military or police members, or civilians….Peru’s health minister Carlos Vallejos described yesterday as an historical day. “We are opening a new chapter in the history of Peru’s public health system.”

http://guaranteedhealthcare.org/blog/shu...

We Peruvians are clever like that (my dad is from Lima), if anything we're TOO ahead of the curve. After all, the Peruvian government tipped off Uncle Sam to Japan's attack on Pearl Harbor....while Admiral Yamamoto's plan was still a rough draft,

On January 7, 1941, Yamamoto committed his ideas to paper in his blandly titled memorandum Gumbi ni kansuru shiken (Views on military preparations) to the navy minister, Oikawa Koshiro... an air attack by several carrier divisions on the U.S. Pacific Fleet at Pearl Harbor.

Then, as Helen Thomas would write:

On Jan. 27, 1941, Ricardo Rivera Schreiber, the Peruvian ambassador to Japan, paid an urgent call on Grew to tell him that he had information that the Japanese were planning to attack Pearl Harbor.
At the time, Grew thanked Schreiber for "rendering a great service to my country" and they jointly prepared a cable to be dispatched to the State Department but it is doubtful that cable was ever sent.
Instead, Olive Schuler said, Grew sent a cable intended to tone down the information Schreiber had given him with the added comment that he gave it "no credence."

Submitted by hipparchia on

you're going to like this one!

serving on the editorial board of the journal of human resources are [among others]:

- kerwin charles, economics professor at univ chicago, who also serves on the board of trustees of the norc [doublecheck, yep, same kerwin kofi charles]

- amitabh chandra, who is either at harvard or at dartmouth [or maybe both] depending on which source you find on the internetz

- jonathan skinner, who is a major player in the dartmouth atlas

- patricia anderson, who is an economics professor at dartmouth

my guess is that the connection between norc and the dartmouth atlas is one of those one-degree-of-separation things. the dartmouth atlas project seems to get a lot of input from the dartmouth economics dept, and just cruising around the web in pursuit of an answer for your question, i noticed various collaborative projects and papers where economists from dartmouth and chicago worked together, not just in health policy, but also in education policy. probably the two schools' economics depts are of a similar philosophy.

Submitted by hipparchia on

study and chartpack on masschusetts health whatever reform, lead author = jon gabel, of norc.

bcbsf of massachusetts = blue cross blue shield foundation of massachusetts

rwjf, along with several large insurance companies, fund the dartmouth atlas. or at least they did in the past - if you go to the dartmouth atlas website you find this now:

The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation.

again, they're not necessarily all working in concert, but they're all basically on the same side.